1 | P a g e NFDN 2006 MIDTERM EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ How does the public health nurse role differ from a home health nursing role? - ANSWER- They work in the community. What are 5 principles of Primary health care - ANSWER- 1. accessibility 2. active public participation 3. health promotion 4. appropriate technology and innovation 5. intersectoral cooperation and collaboration. **examples of upstream, midstream, and downstream thinking. - ANSWER- Up stream: Why are people falling in the river Midstream: everyone should wear a lifejacket so when they fall in they'll be okay Downstream: Pull them out of the stream, resuscitate them, and send them on their way. 2 | P a g e **What is primary health care? - ANSWER- comprehensive care that includes disease prevention, community development, a wide spectrum of services and programs, working in interprofessional teams, and intersectoral collaboration for healthy public policy (Community Health Nursing in Canada 3rd ed., p. 10) Lalonde report in 1974 focused on what? - ANSWER- Lifestyle modifications, environment. Body break movement. Jake Epp wanted to develop a healthcare system focused on addressing what? 1986 - ANSWER- Reducing inequities, increasing prevention, enhance coping skills. "health for all" What is the Ottawa charters definition of health? - ANSWERHealth is a resource. **What is the difference between primary care and Primary health care? - ANSWER- primary care focuses on curative processes, downstream thinking. Primary health care Includes intersectoral collaboration. upstream thinking. 3 | P a g e The determinants of health can revile what? - ANSWER- The health of a population That health is an unachievable outcome (a resource) What is upstream thinking? - ANSWER- Care that focuses on interventions that promote health or prevent illness, as opposed to medical treatment models that focus on care after an individual becomes ill. What are some of the benefits of community nursing? - ANSWER- It's more affordable; Clients have less stress being treated in their homes. Provide an example for each level of prevention for heart disease. - ANSWER- Upstream: diet and exercise teaching midstream: Hire more heart doctors and surgeons so people can be treated faster when they get HEART disease. Downstream: treat the disease with medications and surgeries. What is hospice care? - ANSWER- palliative care for those with a life expectancy of less than 6 months who are no longer continuing treatment. 4 | P a g e Name steps to ethical decision making. - ANSWER- 1. identify the issue 2. put the ethical experience in context 3. obtain relevant facts. 4. reformulate the ethical experience if needed. 5. consider appropriate approaches to action, 6. make a decision and take action 7. evaluate the decision and action. Pastoral nursing would refer clients to churches, or pastors in the community? - ANSWER- False What is pastoral care? - ANSWER- Spiritual care for the client provided by healthcare team. What is evidence based practice? - ANSWER- an approach that uses firm scientific data rather than anecdote, tradition, intuition or folklore in making decisions about medical and nursing practice. Advocacy includes all of the following for CHN's - ANSWERImproving systematic social conditions